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T IV r-5011-001 <br /> ENGINEERING / PUBLIC SERVICES <br /> 4,E7T INSPECTION REQUEST <br /> Address <br /> Contractor <br /> Owner <br /> Date (C) •j'Z -l(cam Permit No: P iW t 3 V --7Dad <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ SIDE SEWER <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> ❑ '3+i'G4s Ray-iy R3 l &,4i n4 L,d f <br /> INSPECTION REQUESTED ON @ <br /> DATE TIME <br /> ❑ APPROVAL PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE before work can be approved. <br /> ❑ Please contact inspector and arrange for appointment. <br /> ❑ Was not able to perform inspection. <br /> ❑ CALL 425-257-8810 FOR REINSPECTION —24 hour notice required. <br /> Ow401 <br /> C� <br /> j <br /> Inspector Date <br />